UAB - Service Learning - Community Partner Form

Community Partner Form

	Thank you for your interest in being a UAB Highlighted Community Partner. The information below is required in order for you to be included as a Highlighted Community Partner on the UAB Office for Service Learning Website Students who are registered for Service-Learning Courses research potential volunteer opportunities on this website. Please complete the form; it will be transmitted to the Director of the Office for Service Learning.
Name of Community Partner (*)	Please enter your organization name.
What community needs does your organization attempt to address? Does your organization have a mission statement? If so, what is it?	Invalid Input
Website, if applicable:	Invalid Input
Contact Person (for interested Service Learners)	Invalid Input
Contact Information (Email Address, Phone Number, Etc)	Invalid Input
Nature of Volunteer Activities (What will students do?)	Invalid Input
Opportunity Availability (What days and times may students volunteer?)	Invalid Input
Location of Volunteer Activities (Site locations)	Invalid Input
Community Partner Supervisor (Who will supervise and evaluate the student?)	Invalid Input
Supervisor Contact Information (Email Address, Phone Number, Mailing Address)	Invalid Input
What kind of training is involved?	Invalid Input
How long will it take the volunteer to reach the site from UAB? (Approximate travel time)	Invalid Input
What might a student hope to accomplish by completing service with your organization?	Invalid Input
What challenges might a student expect to encounter?	Invalid Input
Please type the 4 letters below and click submit.	Refresh Invalid Input
Submit